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External Cephalic Version: Is it an Effective and Safe Procedure?
08:49

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Published on: June 6, 2020

Precipitous and difficult deliveries.

David W Silver1, Frank Sabatino

  • 1Hofstra North Shore - LIJ School of Medicine, Hempstead, NY, USA. dsilver1@nshs.edu

Emergency Medicine Clinics of North America
|November 10, 2012
PubMed
Summary
This summary is machine-generated.

Precipitous births in the emergency department (ED) can be stressful. Emergency physicians must be ready for complications like nuchal cord, shoulder dystocia, and breech birth during these rapid deliveries.

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Area of Science:

  • Emergency Medicine
  • Obstetrics

Background:

  • Deliveries occurring in the emergency department (ED) are classified as precipitous births.
  • These events can induce significant anxiety for both patients and healthcare providers.

Purpose of the Study:

  • To review the fundamental aspects of precipitous deliveries in the ED.
  • To outline potential complications encountered during these deliveries.
  • To detail the appropriate management strategies for emergency physicians.

Main Methods:

  • This article is a review of existing literature and clinical guidelines.
  • It synthesizes information on the recognition and management of precipitous births in an emergency setting.

Main Results:

  • While many ED deliveries are uncomplicated, specific scenarios require immediate physician preparedness.
  • Key complications include nuchal cord, shoulder dystocia, and breech presentation.
  • Effective management hinges on prompt recognition and intervention.

Conclusions:

  • Emergency physicians must be equipped to handle precipitous births and their associated complications.
  • Preparedness for scenarios like nuchal cord, shoulder dystocia, and breech birth is crucial for optimal patient outcomes.